Presentation of a True Aneurysm of the Right Common Femoral Artery

Abstract

Common femoral artery aneurysms are uncommon and very rarely isolated. Here, we describe a large right femoral artery aneurysm that caused local discomfort and pain. A 60-yearold man was referred to an outpatient clinic of a cardiovascular surgery department. He had a 3-year history of a swelling in the right inguinal region and complained of its increasing size and worsening of pain. An examination of the right groin revealed a painless, pulsatile mass (5-7 cm in size). There was no history of hypertension, connective tissue disorder, Behcet's disease or any intervention in the right groin. Blood pressure was equal in both legs. Complete blood count and other blood test results were within normal limits. He had a smoking history of 25 packs/year. Duplex ultrasound of the mass revealed an aneurysm, measuring 35 × 38 mm, of the right common femoral artery. Computed tomography was performed, which showed a 33.5 mm aneurysm sac in a 5 cm segment (Figure 1). Surgery was performed under spinal anaesthesia. The aneurysm was dissected, and an 8-mm Dacron graft was interposed (Figures 2A and B). The patient was discharged on the postoperative day 2. He had an uneventful recovery, with no complications found at his 1-week postoperative follow-up.